Individual
TONY ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844568, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
P0409
TX
Other
Enumeration date
07/30/2007
Last updated
12/22/2021
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